TEST BANK f
THE PSYCHIATRIC
f f
INTERVIEW
4th Edition Daniel J. Carlat
f f f f
TEST BANK f
,ThefPsychiatricfInterviewf4thfEditionfCarlatfTestfBankf(
Chapterf 1-Chapterf 3)
Chapterf1:fThef Initialf Interview:f Af Preview
Chapterf 2:f Logisticf Preparations:f Whatf toDofBeforefthefInterview
Chapterf3:fThefTherapeuticf Alliance:f Whatf Itf Is,f WhyfIt'sf Important,fandfHowftofEstablishfIt
MULTIPLEfCHOICE
1. Whichfoutcome,ffocusedfonfrecovery,fwouldfbefexpectedfinfthefplanfoffcarefforfafpatientflivi
ngfinfthefcommunityfandfdiagnosedfwithfseriousfandfpersistentfmentalfillness?fWithinf3fmonth
s,fthefpatientfwill:
a. denyfsuicidalf ideation.
b. reportfafsensefoffwell-being.
c. takef medicationsf asf prescribed.
d. attendfclinicf appointmentsfonf time.f
ANS:fB
Recoveryf emphasizesf managingf symptoms,f reducingf psychosocialf disability,f andf improvingf rolefpe
rformance.fThef goalf offrecoveryfisftof empowerfthef individualfwithfmentalf illnessftofachievef afsensef
offmeaningfandfsatisfactionf inflifefandftoffunctionfatfthefhighestfpossibleflevelfoffwellness.fThefincor
rectfoptionsffocusfonfthefclassicfmedicalfmodelfratherfthanfrecovery.
2. Afpatientfisfhospitalizedf forfdepressionfandfsuicidalfideationf afterftheirf spousef asksf forf afdi
vorce.fSelectfthefnursesfmostfcaringfcomment.
a. Letsfdiscussf somef meansfoffcopingfotherfthanfsuicidef whenf youf havef thesef feelings.
b. Ifunderstandf whyf youref sof depressed.fWhenf Ifgotf divorced,f Ifwasfdevastatedftoo.
c. Youfshouldfforgetfaboutf yourfmarriagefandfmovefonf withfyourflife.
d. Howfdidf youf getf sof depressedf thatf hospitalizationf wasfnecessary?fA
NS:fA
Thefnursesfcommunicationf shouldfevidencef caringfandfaf commitmentf tofworkf withfthefpatient.fThis
f commitmentf letsfthefpatientfknowfthefnursef willf help.fProbingfandfadvicef aref notfhelpfulf orftherape
uticfinterventions.
3. Infthef shift-changef report,f anfoff-
goingfnursef criticizesfaf patientf whof wearsfheavyfmakeup.fWhichfcommentfbyfthefnursefwhofrec
eivesfthefreportfbestfdemonstratesfadvocacy?
a. Thisfisfafpsychiatricfhospital.fCrazinessfisfwhatf wefarefallfabout.
b. Letsfallfshowfacceptancefoffthisfpatientfbyfwearingflotsfoffmakeupftoo.
,c. Yourf commentsf aref inconsideratef andfinappropriate.f Keepf thef reportf objective.
d. Ourfpatientsfneedfourfhelpf toflearnfbehaviorsfthatfwillfhelpfthemf getfalongfinfsociety.fA
NS:fD
Acceptingfpatientsfneedsfforfself-
expressionfandfseekingftofteachfskillsfthatfwillfcontributeftoftheirfwell-
beingfdemonstratef respectf andf aref importantf partsf off advocacy.f Thef on-
comingfnursefneedsftoftakefactionftofensurefthatfothersfarefnotfprejudicedfagainstfthefpatient.fHumo
rfcanfbefappropriatefwithinfthefprivacyfoffafshiftfreportfbutfnotfatfthefexpensefoffrespectfforfpatients.
Judgingfthef off-
goingfnursef infafcriticalf wayfwillfcreatefconflict.f Nursesfmustfshowfcompassionfforfeachfother.
4. Afnursef assessesf af newlyfadmittedf patientf diagnosedf withf majorf depressivef disorder.f Whichfst
atementfisfanfexamplefoffattending?
a. Wefallfhavefstressfinflife.f Beingfinfafpsychiatricfhospitalfisntfthefendfoffthefworld.
b. Tellfmefwhyfyouf feltf youfhadftofbef hospitalizedftofreceivef treatmentfforf yourf depression.
c. Youfwillf feelfbetterfafterfwef getf somefantidepressantfmedicationfstartedfforfyou.
d. Idflikeftofsitfwithfyoufaf whilefsofyoufmayffeelfmorefcomfortableftalkingfwithfme.fA
NS:fD
Attendingfisf aftechniquefthatf demonstratesfthefnursesf commitmentftofthefrelationshipfandfreducesf f
eelingsf offisolation.f Thisftechniquef showsf respectf forf thef patientf andfdemonstratesfcaring.fGenerali
zations,fprobing,fandffalsefreassurancesfarefnon-therapeutic.
5. AfpatientfshowsfthefnursefanfarticleffromfthefInternetfaboutfafhealthfproblem.fWhichfcharacte
risticfoffthefwebf sitesfaddressfmostfalertsfthefnursefthatfthefsitefmayfhavefbiasedfandfprejudicedfi
nformation?
a. Addressfendsfinf.org.
b. Addressfendsfinf.com.
c. Addressfendsfinf.gov.
d. Addressfendsfinf.net.f
ANS:fB
Financialfinfluencesfonfafsitefarefafcluefthatfthefinformationfmayfbefbiased.f.comfatfthefendfoffthefa
ddressfindicatesfthatfthef sitefisfafcommercialf one.f .govfindicatesfthatfthefsitefisfmaintainedfbyfaf gov
ernmentfentity.f.orgfindicatesfthatfthefsitefisfnonproprietary;fthefsitefmayforfmayfnotfhavefreliablefi
nformation,fbutfitfdoesfnotfprofitffromfitsfactivities.f.netfcanfhavefmultiple
, meanings.
6. Afnursefsays,f WhenfIfwasfinfschool,fIflearnedftofcallfupsetfpatientsfbyfnameftofgetftheirfattention;f
however,f Ifreadfaf descriptivef researchf studyfthatf saysfthatf thisfapproachfdoesfnotf work.fIfplanftofstopf
callingfpatientsfbyfname.fWhichfstatementfisfthefbestfappraisalfoffthisfnursesfcomment?
a. Onef descriptivef researchf studyfrarelyfprovidesf enoughf evidencef tof changef practice.
b. Stafffnursesfapplyfnewfresearchf findingsfonlyfwithfthefhelpf fromfclinicalfnursef specialists.
c. Newfresearchf findingsf shouldfbef incorporatedf intofclinicalf algorithmsf beforefusingfthemf infpr
actice.
d. Thefnursef misinterpretedfthef resultsf offthef study.f Classicf tenetsf offpracticef dofnotf change.fA
NS:fA
Descriptivefresearchffindingsfprovidefevidencef forfpracticefbutfmustfbefviewedfinfrelationftofotherf
studiesfbeforefpracticefchanges.fOnefstudyfisfnotfenough.fDescriptivefstudiesfareflowfonfthefhierarc
hyfoffevidence.fClinicalfalgorithmsf usef flowfchartsftofmanagefproblemsfandfdofnotfspecifyfonef res
ponsef tofaf clinicalf problem.f Classicf tenetsf offpracticef shouldfchangef asfresearchffindingsfprovidefev
idencefforfchange.
7. Twofnursingfstudentsfdiscussfcareerfplansfafterfgraduation.fOnefstudentfwantsftofenterfpsychiatr
icf nursing.fThef otherf studentfasks,f Whyfwouldf youf wantf tofbefaf psychiatricf nurse?f Allftheyfdofisfta
lk.fYoufwillflosef yourfskills.fSelectfthefbestfresponsefbyfthefstudentfinterestedfinfpsychiatricfnursin
g.
a. Psychiatricf nursesfpracticef inf saferf environmentsfthanf otherf specialties.fNurse-to-
patientfratiosfmustfbefbetterfbecausefoffthefnaturefoffpatientsfproblems.
b. Psychiatricf nursesfusef complexfcommunicationf skills,fasfwellfasfcriticalf thinking,f tofsolvefm
ultidimensionalfproblems.fImfchallengedfbyfthosefsituations.
c. IfthinkfIfwillfbefgoodfinfthefmentalfhealthffield.fIfdofnotflikefclinicalfrotationsfinfschool,fsofIfdofn
otfwantftofcontinuefthemfafterfIfgraduate.
d. Psychiatricfnursesfdofnotfhaveftofdealfwithfasfmuchfpainfandfsufferingfasfmedicalf surgicalfnu
rses.fThatfappealsftofme.
ANS:fB
Thef practicef offpsychiatricf nursingfrequiresfaf differentf setfoffskillsf thanfmedicalf surgicalf nursing,falt
houghfsubstantialfoverlapfdoesfexist.fPsychiatricfnursesfmustfbefableftofhelpfpatientsfwithfmedicalfa
ndfmentalfhealthfproblems,freflectingfthefholisticf perspectivefthesefnursesf mustfhave.
THE PSYCHIATRIC
f f
INTERVIEW
4th Edition Daniel J. Carlat
f f f f
TEST BANK f
,ThefPsychiatricfInterviewf4thfEditionfCarlatfTestfBankf(
Chapterf 1-Chapterf 3)
Chapterf1:fThef Initialf Interview:f Af Preview
Chapterf 2:f Logisticf Preparations:f Whatf toDofBeforefthefInterview
Chapterf3:fThefTherapeuticf Alliance:f Whatf Itf Is,f WhyfIt'sf Important,fandfHowftofEstablishfIt
MULTIPLEfCHOICE
1. Whichfoutcome,ffocusedfonfrecovery,fwouldfbefexpectedfinfthefplanfoffcarefforfafpatientflivi
ngfinfthefcommunityfandfdiagnosedfwithfseriousfandfpersistentfmentalfillness?fWithinf3fmonth
s,fthefpatientfwill:
a. denyfsuicidalf ideation.
b. reportfafsensefoffwell-being.
c. takef medicationsf asf prescribed.
d. attendfclinicf appointmentsfonf time.f
ANS:fB
Recoveryf emphasizesf managingf symptoms,f reducingf psychosocialf disability,f andf improvingf rolefpe
rformance.fThef goalf offrecoveryfisftof empowerfthef individualfwithfmentalf illnessftofachievef afsensef
offmeaningfandfsatisfactionf inflifefandftoffunctionfatfthefhighestfpossibleflevelfoffwellness.fThefincor
rectfoptionsffocusfonfthefclassicfmedicalfmodelfratherfthanfrecovery.
2. Afpatientfisfhospitalizedf forfdepressionfandfsuicidalfideationf afterftheirf spousef asksf forf afdi
vorce.fSelectfthefnursesfmostfcaringfcomment.
a. Letsfdiscussf somef meansfoffcopingfotherfthanfsuicidef whenf youf havef thesef feelings.
b. Ifunderstandf whyf youref sof depressed.fWhenf Ifgotf divorced,f Ifwasfdevastatedftoo.
c. Youfshouldfforgetfaboutf yourfmarriagefandfmovefonf withfyourflife.
d. Howfdidf youf getf sof depressedf thatf hospitalizationf wasfnecessary?fA
NS:fA
Thefnursesfcommunicationf shouldfevidencef caringfandfaf commitmentf tofworkf withfthefpatient.fThis
f commitmentf letsfthefpatientfknowfthefnursef willf help.fProbingfandfadvicef aref notfhelpfulf orftherape
uticfinterventions.
3. Infthef shift-changef report,f anfoff-
goingfnursef criticizesfaf patientf whof wearsfheavyfmakeup.fWhichfcommentfbyfthefnursefwhofrec
eivesfthefreportfbestfdemonstratesfadvocacy?
a. Thisfisfafpsychiatricfhospital.fCrazinessfisfwhatf wefarefallfabout.
b. Letsfallfshowfacceptancefoffthisfpatientfbyfwearingflotsfoffmakeupftoo.
,c. Yourf commentsf aref inconsideratef andfinappropriate.f Keepf thef reportf objective.
d. Ourfpatientsfneedfourfhelpf toflearnfbehaviorsfthatfwillfhelpfthemf getfalongfinfsociety.fA
NS:fD
Acceptingfpatientsfneedsfforfself-
expressionfandfseekingftofteachfskillsfthatfwillfcontributeftoftheirfwell-
beingfdemonstratef respectf andf aref importantf partsf off advocacy.f Thef on-
comingfnursefneedsftoftakefactionftofensurefthatfothersfarefnotfprejudicedfagainstfthefpatient.fHumo
rfcanfbefappropriatefwithinfthefprivacyfoffafshiftfreportfbutfnotfatfthefexpensefoffrespectfforfpatients.
Judgingfthef off-
goingfnursef infafcriticalf wayfwillfcreatefconflict.f Nursesfmustfshowfcompassionfforfeachfother.
4. Afnursef assessesf af newlyfadmittedf patientf diagnosedf withf majorf depressivef disorder.f Whichfst
atementfisfanfexamplefoffattending?
a. Wefallfhavefstressfinflife.f Beingfinfafpsychiatricfhospitalfisntfthefendfoffthefworld.
b. Tellfmefwhyfyouf feltf youfhadftofbef hospitalizedftofreceivef treatmentfforf yourf depression.
c. Youfwillf feelfbetterfafterfwef getf somefantidepressantfmedicationfstartedfforfyou.
d. Idflikeftofsitfwithfyoufaf whilefsofyoufmayffeelfmorefcomfortableftalkingfwithfme.fA
NS:fD
Attendingfisf aftechniquefthatf demonstratesfthefnursesf commitmentftofthefrelationshipfandfreducesf f
eelingsf offisolation.f Thisftechniquef showsf respectf forf thef patientf andfdemonstratesfcaring.fGenerali
zations,fprobing,fandffalsefreassurancesfarefnon-therapeutic.
5. AfpatientfshowsfthefnursefanfarticleffromfthefInternetfaboutfafhealthfproblem.fWhichfcharacte
risticfoffthefwebf sitesfaddressfmostfalertsfthefnursefthatfthefsitefmayfhavefbiasedfandfprejudicedfi
nformation?
a. Addressfendsfinf.org.
b. Addressfendsfinf.com.
c. Addressfendsfinf.gov.
d. Addressfendsfinf.net.f
ANS:fB
Financialfinfluencesfonfafsitefarefafcluefthatfthefinformationfmayfbefbiased.f.comfatfthefendfoffthefa
ddressfindicatesfthatfthef sitefisfafcommercialf one.f .govfindicatesfthatfthefsitefisfmaintainedfbyfaf gov
ernmentfentity.f.orgfindicatesfthatfthefsitefisfnonproprietary;fthefsitefmayforfmayfnotfhavefreliablefi
nformation,fbutfitfdoesfnotfprofitffromfitsfactivities.f.netfcanfhavefmultiple
, meanings.
6. Afnursefsays,f WhenfIfwasfinfschool,fIflearnedftofcallfupsetfpatientsfbyfnameftofgetftheirfattention;f
however,f Ifreadfaf descriptivef researchf studyfthatf saysfthatf thisfapproachfdoesfnotf work.fIfplanftofstopf
callingfpatientsfbyfname.fWhichfstatementfisfthefbestfappraisalfoffthisfnursesfcomment?
a. Onef descriptivef researchf studyfrarelyfprovidesf enoughf evidencef tof changef practice.
b. Stafffnursesfapplyfnewfresearchf findingsfonlyfwithfthefhelpf fromfclinicalfnursef specialists.
c. Newfresearchf findingsf shouldfbef incorporatedf intofclinicalf algorithmsf beforefusingfthemf infpr
actice.
d. Thefnursef misinterpretedfthef resultsf offthef study.f Classicf tenetsf offpracticef dofnotf change.fA
NS:fA
Descriptivefresearchffindingsfprovidefevidencef forfpracticefbutfmustfbefviewedfinfrelationftofotherf
studiesfbeforefpracticefchanges.fOnefstudyfisfnotfenough.fDescriptivefstudiesfareflowfonfthefhierarc
hyfoffevidence.fClinicalfalgorithmsf usef flowfchartsftofmanagefproblemsfandfdofnotfspecifyfonef res
ponsef tofaf clinicalf problem.f Classicf tenetsf offpracticef shouldfchangef asfresearchffindingsfprovidefev
idencefforfchange.
7. Twofnursingfstudentsfdiscussfcareerfplansfafterfgraduation.fOnefstudentfwantsftofenterfpsychiatr
icf nursing.fThef otherf studentfasks,f Whyfwouldf youf wantf tofbefaf psychiatricf nurse?f Allftheyfdofisfta
lk.fYoufwillflosef yourfskills.fSelectfthefbestfresponsefbyfthefstudentfinterestedfinfpsychiatricfnursin
g.
a. Psychiatricf nursesfpracticef inf saferf environmentsfthanf otherf specialties.fNurse-to-
patientfratiosfmustfbefbetterfbecausefoffthefnaturefoffpatientsfproblems.
b. Psychiatricf nursesfusef complexfcommunicationf skills,fasfwellfasfcriticalf thinking,f tofsolvefm
ultidimensionalfproblems.fImfchallengedfbyfthosefsituations.
c. IfthinkfIfwillfbefgoodfinfthefmentalfhealthffield.fIfdofnotflikefclinicalfrotationsfinfschool,fsofIfdofn
otfwantftofcontinuefthemfafterfIfgraduate.
d. Psychiatricfnursesfdofnotfhaveftofdealfwithfasfmuchfpainfandfsufferingfasfmedicalf surgicalfnu
rses.fThatfappealsftofme.
ANS:fB
Thef practicef offpsychiatricf nursingfrequiresfaf differentf setfoffskillsf thanfmedicalf surgicalf nursing,falt
houghfsubstantialfoverlapfdoesfexist.fPsychiatricfnursesfmustfbefableftofhelpfpatientsfwithfmedicalfa
ndfmentalfhealthfproblems,freflectingfthefholisticf perspectivefthesefnursesf mustfhave.
